| Model Instance Name: |
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| MedlinePlus Mobile Site | |||||||||||
| MID: | lVYN0wk15V0E0tVoRU4tRQ== | ||||||||||
| Date: | Fill In Date | ||||||||||
| Welcome and Thank You Text | |||||||||||
| Directions: | |||||||||||
| This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below. | |||||||||||
| Examples | |||||||||||
| Welcome Text Example | |||||||||||
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| Welcome Text | |||||||||||
| Thank you for visiting our site. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible. |
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| Thank You Text Example | |||||||||||
| Thank You Text |
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| Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website. |
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| Model Instance Name: | |||||
| MedlinePlus Mobile Site |
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| MID: | lVYN0wk15V0E0tVoRU4tRQ== | ||||
| Date: | 10/6/2011 | ||||
| \ | |||||
| Model questions utilize the ACSI methodology to determine scores and impacts | |||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | |||
| Please rate the visual appeal of this mobile site. | What is your overall satisfaction with this mobile site? (1=Not At All Satisfied, 10=Extremely Satisfied) |
How likely are you to return to this mobile site? | |||
| Please rate the readability of the pages on this mobile site. | How well does this mobile site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | |||
| Navigation (1=Poor, 10=Excellent, Don't Know) | How does this site compare to your idea of an ideal mobile website? (1=Not Very Close, 10=Very Close) |
How likely are you to recommend this mobile site to someone else? | |||
| Please rate how well the mobile site is organized. | |||||
| Please rate the options available for navigating this mobile site. | |||||
| Functionality (1=Poor, 10=Excellent, Don't Know) | |||||
| Please rate the usefulness of the features provided on this mobile site. | |||||
| Please rate the variety of features on this mobile site. | |||||
| Content (1=Poor, 10=Excellent, Don't Know) | |||||
| Please rate the accuracy of information on this mobile site. |
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| Please rate the quality of information on this mobile site. | |||||
| Model Instance Name: | |||||||||||
| MedlinePlus Mobile Site | underlined & italicized: RE-ORDER | ||||||||||
| MID: lVYN0wk15V0E0tVoRU4tRQ== | pink: ADDITION | ||||||||||
| Date: | 3/1/2008 | blue + -->: REWORDING | |||||||||
| MedlinePlus Mobile Site CUSTOM QUESTION LIST | |||||||||||
| QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | ||
| AML000829 | What was your primary reason for visiting this mobile site? | Find info on alternative treatments, herbs, or supplements | Radio button, one-up vertical | single | Y | Skip Logic Group | Reason for Visit | ||||
| Keep up with breaking health news | |||||||||||
| Search for health care products or services | |||||||||||
| Find general health and wellness info | |||||||||||
| Find info on a specific disease, condition, diagnosis, or treatment | |||||||||||
| Find info on medicines or prescription drugs | |||||||||||
| Search for health care provider (physician/dentist/hospital/etc.) | |||||||||||
| Other, please specify: | A | ||||||||||
| AML000830 | A | Other reason for visit | Text area, no char limit | S | N | Other Reason for Visit | |||||
| AML000831 | Were you able to accomplish your primary task? | Yes | Dropdown (Select-one) | Single | Y | Skip Logic Group | Accomplish Task | ||||
| No | A | ||||||||||
| Partly | A | ||||||||||
| AML000832 | A | If you were unable to accomplish your task please tell us what you were trying to accomplish. | Text field, <100 char | Single | N | Why Not Accomplish Task | |||||
| AML000833 | Please provide one suggestion to improve the MedlinePlus mobile site. | Single | N | Improvements | |||||||
| AML000834 | What best describes your role in visiting the MedlinePlus mobile site during this session? | Educator | Radio button, one-up vertical | single | Y | Role | |||||
| Patient with a specific disease or condition | |||||||||||
| Secondary Student (grades 7-12) | |||||||||||
| Family or friend of patient | |||||||||||
| Researcher/Scientist | |||||||||||
| General health consumer | |||||||||||
| Health Care Provider (e.g., Physician, Dentist, Nurse) | |||||||||||
| Health Care Administrator | |||||||||||
| Librarian or Information Professional | |||||||||||
| College/Graduate Student | |||||||||||
| News Reporter/ Media Person | |||||||||||
| National Library of Medicine Staff | |||||||||||
| Medical Transcriptionist | |||||||||||
| Medical Interpreter | |||||||||||
| Other | |||||||||||
| AML000835 | What is your gender? | Female | Radio button, one-up vertical | S | N | Gender | |||||
| Male | |||||||||||
| AML000836 | Please select the category that includes your age. | 24 and under | Radio button, scale, no don't know | S | N | Age | |||||
| 25 - 34 | |||||||||||
| 35 - 44 | |||||||||||
| 45 - 54 | |||||||||||
| 55 - 59 | |||||||||||
| 60 - 64 | |||||||||||
| 65 - 69 | |||||||||||
| 70 - 74 | |||||||||||
| 75 - 84 | |||||||||||
| 85 - 94 | |||||||||||
| 95 or over | |||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |